Provider Demographics
NPI:1275768145
Name:ARNOLD, JUSTIN (DO, MPH)
Entity Type:Individual
Prefix:
First Name:JUSTIN
Middle Name:
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:DO, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1887 SHADES CREST RD
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35216-1421
Mailing Address - Country:US
Mailing Address - Phone:205-381-2525
Mailing Address - Fax:
Practice Address - Street 1:UAB DEPARTMENT OF EMERGENCY MEDICINE
Practice Address - Street 2:OHB 251, 6119 19TH STREET SOUTH
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35249-0001
Practice Address - Country:US
Practice Address - Phone:205-975-9358
Practice Address - Fax:205-934-9155
Is Sole Proprietor?:No
Enumeration Date:2009-05-21
Last Update Date:2015-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA69171207P00000X
ALDO.1484207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine